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���� ������ ��������� ��� ���� ���������� � ��������� <br /> Address/Permit Ne�rreber. 2��C7 C�C C..�-`� ¢4V-� <br /> Qescript6or�of�oriz: ��t���C� <br /> Septic review l��: f�)F t� D�te Approvec�: <br /> Zoning ceview by: �� Date Appro�red: <br /> 8uilciing revtew bp: , pate app�ov�d: � '� � ��-����` <br /> Grading review by: N(/� Date Approved: <br /> Zoning District: Zonireg File�: Reso#: Reso Date• <br /> ing: Lot Ar�a: SF/AC �[clth: Lot Coverage;< SF %o" <br /> Sur�re Submitteci: �' Yes � No Date of S�rvey: Rev' d date ? : <br /> Pro ose etbacks: <br /> Froc�t(La,ke Rear(Street) � � � � � ? � � S E � 1 her B�ilciings Wettand <br /> Side Side <br /> DefiRed Height: Peak Heigfit: FFE: F E minus 6 feet= (Existing Contou <br /> Perimeter(linesr feet)= 50°�_ ` # f Stcries Ok? Q YES : <br /> FOR A BUILDING 1MTH A BASEMENlT OR WL SPAGE: <br /> The distance n the lowest FOR A BUILDING ON A SLAB FOUNDATIOAtC <br /> START WITH proposed floor,( fhe basement or crawl <br /> space)and fhe hig point of the roof. The distance between the 4op of siab;an <br /> START WITH �e highesi point of the roof. <br /> If you have a... If you have a:'.. ` <br /> • GABLE OR HIPPE OOF(no . GABLE OR HIPPED ROOF(no <br /> windows): SubVad h the windows): Subtract half the dist8n <br /> distance between the hig stp ' t between the highest pointofthe rc <br /> of the roof to the low poinY to the low nt of the co <br /> SUBTRACTION corresponding gable or hi of P� rresPontlii <br /> PP SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF, . GABLE DR HIPPED RQ (with ` (BASED ON . GABLE OR HIPPED I�OOF(wkh <br /> T�E) windows): SubUact e ` ROOF TYPE) wintlows)i SubVact half the disffin <br /> distance beMreen op of the ` betuveen the top of the highesf <br /> highest window a e highest wintlow and ths highest pcint of th <br /> point of the roof �f . <br /> • ALL OTHER OF TYPES(flat, • ALL OTNER ROOF TYPES(flat; <br /> :No subtracHon. mansard,etc:No subiraction: <br /> m��' ADDRION Add the distanGe between ihe top of sla <br /> SUBTRACTION Swbtrad the di nce between the (BASED OM and the highest existing grade adjacent <br /> (BASEp ON EXISTING basemenU spaoe floor and the FJtISTHdG the foundation. <br /> GRADES) highest exi ng grade adjacentto the GRADE$ , <br /> founda' OR 10 feet(whichever is less)- �QUALS DeBned butMing helgM <br /> EQUALS ` Defin bullding helght . <br /> Shorelanc! Qis#rict IVEC1R�D Perqnit Recefved Avera'e Lakeshore tback 11�et? Bluff <br /> 0 Yes � No 0 N/A ' O Yes a M� <br /> 0 Yes o Q Yes 0 No /A <br /> Permit Number. Setback: ' <br /> Stormvvat Qt�ality Existing P'roposed Variartce Required CU�R uirecf <br /> Overla �strict Ti�r Harcicover Hardcover <br /> 0 Yes � No Q Yes Q No <br /> TYpe(s): TYPe(s): <br /> Updated: January 2013 � <br /> v:\formslplan review chedclist 2013.docx /�� ���g�� <br />